Azordegan Nazila, Yazdankhah Adel, Moghadasian Mohammed H
Pathology Research Laboratory, and Canadian Centre for Agri-Food Research in Health and Medicine, St. Boniface Hospital Research Centre, 351 Tache Avenue, Winnipeg, Manitoba, Canada.
Arch Gynecol Obstet. 2009 Feb;279(2):183-7. doi: 10.1007/s00404-008-0660-1. Epub 2008 May 10.
Carcinoid tumor is the most common tumor of appendix with overall good prognosis. Endometriosis is the implantation of endometrial glands and stroma outside the uterus.
We here report the coexistence of carcinoid tumor of appendix and ileal endometriosis in a 37-year-old nulliparous woman who came to the emergency room with right lower abdominal pain mimicking acute appendicitis. The main clinical and laboratory findings included fever, leukocytosis and elevated ESR. With preoperative suspicion of acute appendicitis, laparatomy was performed and revealed apparently normal looking appendix, along with a nodule in the terminal ileum. Both the appendix and ileal nodule were removed. Histological examinations revealed carcinoid tumor of appendix and ileal endometriosis. The case was discharged 4 days after surgery with no pain and symptoms and remained symptom free for the 1 year period of follow up.
Many cases of carcinoid tumor of the appendix and ileal endometriosis are diagnosed incidentally. Overall prognosis of these conditions is very good. Surgical treatment seems to be the best intervention for these disorders.
类癌瘤是阑尾最常见的肿瘤，总体预后良好。子宫内膜异位症是子宫内膜腺体和间质在子宫外的植入。
我们在此报告一名37岁未生育女性阑尾类癌瘤与回肠子宫内膜异位症并存的病例，该患者因右下腹痛疑似急性阑尾炎前来急诊室。主要临床和实验室检查结果包括发热、白细胞增多和血沉升高。术前怀疑为急性阑尾炎，遂行剖腹手术，结果显示阑尾外观明显正常，同时回肠末端有一个结节。阑尾和回肠结节均被切除。组织学检查显示为阑尾类癌瘤和回肠子宫内膜异位症。该病例术后4天出院，无疼痛和症状，在1年的随访期内一直无症状。
许多阑尾类癌瘤和回肠子宫内膜异位症病例是偶然诊断出来的。这些病症的总体预后非常好。手术治疗似乎是这些疾病的最佳干预措施。
